Amber Vinson’s family says she is Ebola-free; CDC, hospital refuse to confirm

Amber Vinson, the third person to be diagnosed with Ebola in the US, is free of the disease, her family says. But the Centers for Disease Control and Prevention (CDC) and the hospital where the nurse is being treated won’t confirm that determination.

“We are overjoyed to announce that, as of yesterday evening,
officials at Emory University Hospital and the Centers for
Disease Control are no longer able to detect virus in her body.
She has also been approved for transfer from isolation,” the
family said in a statement. “Amber remains under treatment
within Emory's Serious Communicable Diseases Unit” in
Atlanta, Georgia.

Although the disease may no longer be able in Vinson’s blood, she
will still require treatment to regain her strength, her mother,
Debra Berry, noted. The statement did not say when the
29-year-old might be released from the hospital.

"Amber and our family are ecstatic to receive this latest
report on her condition," Berry said in the statement.
"We all know that further treatment will be necessary as
Amber continues to regain strength, but these latest developments
have truly answered prayers and bring our family one step closer
to reuniting with her at home."

But the results of Vinson’s blood tests don’t necessarily mean
that she is free of Ebola, a source with
knowledge of her case told NBC News.

Both Emory and the CDC said they were “not aware of” any
test results, their respective spokespeople told the Dallas
Morning News.

“Healthcare provider will determine by diagnostic whether a
patient is free of Ebola virus,” CDC spokesman Jason
McDonald said via email. “We have criteria we ask medical
staff to meet but the determination is made by medical care
provider.”

Previously, Vinson’s family had not allowed Emory or the CDC to
comment on her condition, the Morning News reported.

Contracting the disease

The nurse was among those who cared for initial Ebola patient
Thomas Eric Duncan at Texas Health Presbyterian Hospital.
Vinson
came down with a fever on October 14, and was taken into
isolation at the hospital where she works, even before tests
confirmed she had contracted the virus. She was transferred from
Presbyterian Dallas to Emory on last Wednesday.

Another nurse who had “extensive contact” with Duncan,
Nina
Pham, was diagnosed with Ebola October 12. She was
transferred to the National Institutes of Health (NIH) in
Bethesda, Maryland late last Thursday night. The 26-year-old was
upgraded from fair to good condition on Tuesday, the government
research agency said.

While it is still not clear how the two Presbyterian Dallas
nurses became infected, their co-workers and a national nurses
union claim that officials there weren’t
properly prepared to handle the deadly Ebola virus when
Duncan, a Liberian national with the disease, was admitted late
last month. Duncan
died October 8.

"I believe they should have known they were not handling this
well, this Ebola crisis,” Dallas nurse Briana Aguirre told
‘The Today Show’ last Thursday, while flanked by her attorney.
“They should have known that it was getting out of hand. They
should have called in more help, even to make a public plea and
say, 'Help us. Help us get the supplies we need. Help us get the
nurses the education and training they need.'”

National Nurses United, a union that does not represent any
health care workers at Presbyterian Dallas, accused the hospital
of not providing the correct equipment for treating Ebola
patients and not properly training staff on how to avoid putting
themselves at risk by coming into contact with infected bodily
fluids.

“No one knew what the protocols were or were able to verify
what kind of personal protective equipment should be worn and
there was no training,” the union’s statement read in part.

“For their necks, nurses had to use medical tape, that is not
impermeable and has permeable seams, to wrap around their necks
in order to protect themselves, and had to put on the tape and
take it off on their own,” it continued. “Nurses had to
interact with Mr. Duncan with whatever protective equipment was
available, at a time when he had copious amounts of diarrhea and
vomiting which produces a lot of contagious fluids.”

All of those accusations go against CDC guidelines on handling
Ebola specimens and treating people who may potentially have the
disease. Those guidelines were subsequently
tightened on Tuesday.

Consequences of mishandling Duncan case

Presbyterian
Dallas began dealing with the disease on September 24, when
it mistakenly sent Duncan home ‒ despite his showing Ebola-like
symptoms and telling hospital staff he had recently traveled from
disease-ravaged Liberia. Duncan was later admitted on the 28th.
The hospital has apologized for mishandling his case, but that
did not comfort its nurse, Aguirre.

“Knowing what I know, I would try everything and anything to
refuse to go there to be treated,” she said on national
television. “I would feel at risk by going there. If I don’t
actually have Ebola, I may contract it there. I would do anything
to refuse to go there.”

Though the hospital has denied the allegations, it has affected
the company’s bottom line. Revenue declined by 25.6 percent ‒
$8.1 million ‒ and emergency room visits plummeted 53.3 percent ‒
or 2,336 visits ‒at Presbyterian Dallas over the first 20 days in
October when compared to the first nine months of the year, the
Morning News reported, citing new financial disclosures.
Operating surgeries also declined by 165 cases, or 25 percent.

The hospital blamed the lost revenue on the emergency department
being placed on diversionary status from October 12 to 20.